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流动血库在大型水面舰艇血液保障中的运用与思考
蔡维乐1,贺治青2,黄开开3,郭玉峰1*
0
(1. 海军军医大学(第二军医大学)第二附属医院驻 91091部队医务中心, 三亚 572000;
2. 海军军医大学(第二军医大学)第二附属医院心内科, 上海 200003;
3. 海军军医大学(第二军医大学)第二附属医院输血科, 上海 200003
*通信作者)
摘要:
目的 通过应急采供血演练,探讨流动血库在大型水面舰艇血液保障中应用的可行性以及应急采供血的运行模式。方法 预先制定应急采供血实施方案,在海上训练期间通过组织应急采供血流程实操演练,以检验应急采供血预案的可行性,并在演练中记录各个环节所用时间及存在问题。结果 从演练结果看,自广播通知采血人员到指定地点、完成血型鉴定、交叉配血,完成1人次全血采集共用时35 min。采血人员技术完备,献血人员未发生不良反应,应急采供血预案具有可操作性。结论 经过模拟演练的检验,流动血库可以作为大型水面舰艇血液保障的主要手段,但仍需要进一步优化。
关键词:  大型水面舰艇  流动血库  应急采供血  血液保障
DOI:10.16781/j.CN31-2187/R.20210940
投稿时间:2021-09-19修订日期:2022-04-15
基金项目:海军军医大学(第二军医大学)第二附属医院军事课题(2019CZJS205).
Mobile blood bank in blood support of large surface warship: application and thinking
CAI Wei-le1,HE Zhi-qing2,HUANG Kai-kai3,GUO Yu-feng1*
(1. Medical Center of No. 91091 Troop of PLA, The Second Affiliated Hospital of Naval Medical University(Second Military Medical University), Sanya 572000, Hainan, China;
2. Department of Cardiology, The Second Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200003, China;
3. Department of Blood Transfusion, The Second Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200003, China
*Corresponding author)
Abstract:
Objective To explore the feasibility of mobile blood bank in blood support for large surface warship and the operation mode of emergency blood collection and supply through emergency blood collection and supply drill. Methods The emergency blood collection and supply drill was developed in advance, and the feasibility of the plan was tested by organizing practical exercises during offshore training. At the same time, the time period and existing problems of each step in the drill were recorded. Results It took about 35 min from the time when the blood collection personnel was notified by the radio to the time when he/she completed the blood type identification, cross matching and whole blood collection. The blood collection personnel had proven skills, and no adverse reactions occurred in the blood donors. Conclusion The simulation results show that mobile blood bank can be used as a major way of blood support for large surface warships, but it still needs further optimization.
Key words:  large surface warship  mobile blood bank  emergency blood collection and supply  blood support